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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... Vascular: - Aortic dissection ... Pain: • Chest ... • Pleura: - Effusion ... Diagnosis #Causes #Cardiology
Aortic Dissection Sagittal View POCUS

Take a look at the appearance of a pericardial effusion, as well
Sagittal View POCUS ... a pericardial effusion ... With chest and belly ... The radiology resident ... Elias Jaffa MD MS
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... (+LR 2.6) - Cardiac ... #ChestPain #ACS ... diagnosis #Algorithm #cardiology
Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens
on POCUS Echocardiogram ... presented with chest ... associated pericardial effusion ... #POCUS #Echocardiogram ... #cardiology
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... large pericardial effusion ... #POCUS #clinical ... Echocardiogram #Cardiology ... #PLAX
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... large pericardial effusion ... #Amyloidosis #Cardiac ... #POCUS #clinical ... Echocardiogram #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... one post op Cardiology ... • <12mo since ACS
Good vs Bad CPR on POCUS TEE during Cardiac Arrest
POCUS TEE can be utilized intra-arrest to
vs Bad CPR on POCUS ... TEE during Cardiac ... person performing chest ... TEE #clinical #acls ... #arrest #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... bilateral pleural effusions ... Consider cardiac ... Pharmacology: • ACE ... diagnosis #management #cardiology